Ischemic Colitis in a Patient with Severe COVID-19 Pneumonia

Ilona Krejčová; Alena Berková; Laura Kvasnicová; Petr Vlček; Lenka Veverková; Igor Penka; Dušan Zoufalý; Vladimír Červeňák

doi:10.1159/000525840

Ischemic Colitis in a Patient with Severe COVID-19 Pneumonia

Case Rep Gastroenterol. 2022 Aug 31;16(2):526-534. doi: 10.1159/000525840. eCollection 2022 May-Aug.

Authors

Ilona Krejčová¹, Alena Berková¹, Laura Kvasnicová¹, Petr Vlček¹, Lenka Veverková¹, Igor Penka¹, Dušan Zoufalý², Vladimír Červeňák³

Affiliations

¹ 1st Surgical Department, St. Anne's University Hospital, Masaryk University Faculty of Medicine, Brno, Czechia.
² 1st Department of Pathology, St. Anne's University Hospital, Masaryk University Faculty of Medicine, Brno, Czechia.
³ Department of Clinical Imaging, St. Anne's University Hospital, Masaryk University Faculty of Medicine, Brno, Czechia.

Abstract

At the time of the current COVID-19 pandemic, on a daily basis, we encountered patients suffering from various manifestations of this infection. The most common are respiratory symptoms. Many of the patients require acute hospital care, and a smaller group of them are hospitalized in intensive care units. A subset of these critically ill patients demonstrates clinically remarkable hypercoagulability and thus a predisposition to venous and arterial thromboembolism, manifested by thrombotic events ranging from acute pulmonary embolism and splanchnic vascular ischemia to extremity ischemia. The article describes a case of a patient with COVID-19 pneumonia complicated by massive bleeding into the gastrointestinal tract due to ischemic enterocolitis in connection with COVID-19 infection.

Keywords: Acute abdomen; COVID-19; Ischemic colitis; Thrombembolism.

Publication types

Case Reports